How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $457.09 | Professional | None | $338.84 | $371.54 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $281.84 Typical High $346.74 | Professional | 54 · Surgery only | $257.04 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $37.15 Typical High $45.71 | Professional | 56 · Pre-op care only | $33.88 | $37.15 | $45.71 |
BCBS North Dakota Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $912.01 | Professional | None | $602.56 | $776.25 | $912.01 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $724.44 Median $933.25 Typical High $1,096.48 | Professional | 22 · Increased work | $724.44 | $933.25 | $1,096.48 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $549.54 Typical High $645.65 | Professional | 54 · Surgery only | $426.58 | $549.54 | $645.65 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $77.62 Typical High $91.20 | Professional | 56 · Pre-op care only | $60.26 | $77.62 | $91.20 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $588.84 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $457.09 | $588.84 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $691.83 | Facility | None | $602.56 | $602.56 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $676.08 Typical High $954.99 | Professional | None | $389.05 | $676.08 | $954.99 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $758.58 Typical High $2,344.23 | Facility | None | $371.54 | $758.58 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $630.96 Typical High $2,754.23 | Professional | None | $338.84 | $630.96 | $2,754.23 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,288.25 Typical High $2,511.89 | Facility | None | $758.58 | $1,288.25 | $2,511.89 |
United Setting Professional Modifier None Typical Low $309.03 Median $524.81 Typical High $741.31 | Professional | None | $309.03 | $524.81 | $741.31 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $56.23 Typical High $69.18 | Professional | 55 · Aftercare only | $51.29 | $56.23 | $69.18 |
Where North Dakota sits
The same service costs 4.4 times more in Alaska than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
North Dakota· 9th of 51
$692
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.